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This Phase1, multicenter, first-in-human, open-label, dose-escalation, and dose expansion study will evaluate the safety, tolerability, pharmacokinetics, and preliminary anti-tumor efficacy of HLX35 administered as a single-agent by IV infusion every 2 weeks to patients with locally advanced or metastatic solid malignancies, who have failed or are intolerant to standard therapy, or for whom no standard therapy is available. This study has two parts: phase 1a dose escalation and phase 1b dose expansion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phase 1a dose-escalation stage | Experimental | Phase 1a uses the "3+3" design, to investigate the safety and determine the MTD of HLX35. Seven dose levels of 0.015 mg/kg, 0.05 mg/kg, 0.1 mg/kg, 0.3 mg/kg, 1 mg/kg, 3 mg/kg, and 10 mg/kg are planned for dose finding. Enrollment will continue until a maximum of 42 patients are enrolled |
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| Phase 1b dose-expansion stage | Experimental | Patients with sqNSCLC (EGFR H score≥200) will be enrolled in two expansion cohorts, at doses equal to or lower than the MTD, to better characterize the safety, tolerability, PK variability, and preliminary efficacy of single-agent HLX35. Phase 1b dose expansion will include 15-20 per-protocol treated patients, as defined above, in each of the two expansion cohorts. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HLX35 | Drug | A Recombinant Human Anti-EGFR and Anti-4-1BB Bispecific Antibody, HLX35 will be administered as a single intravenous (IV) infusion on Day 1 in each 14-day cycle |
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| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Treatment-Related Adverse Events | 2 years | |
| The proportion of patients experiencing dose limiting toxicity (DLT) events | from first dose to the end of Cycle 2 (each cycle is 14 days) | |
| The maximum tolerated dose (MTD) | from first dose to the end of Cycle 2 (each cycle is 14 days) | |
| Recommended phase 2 dose (RP2D) | from first dose to the end of Cycle 2 (each cycle is 14 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Peak plasma concentration (Cmax) of HLX35 | 2 years | |
| Time to peak (Tmax) of HLX35 | 2 years | |
| Area under the concentration-time curve (AUC) of HLX35 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fudan University Shanghai Cancer Center | Shanghai | 200000 | China | |||
| THE Affiliated Hospital of Xuzhou Medical University |
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| 2 years |
| Elimination half-life (t1/2) of HLX35 | 2 years |
| Clearance (CL) of HLX35 | 2 years |
| Volume of distribution (Vz) of HLX35 | 2 years |
| Accumulation Index (Rac) of HLX35 | 2 years |
| 4-1BB receptor occupancy on circulating T cells | 2 years |
| The level of 4-1BB in serum | 2 years |
| Incidence of treatment-emergent anti-drug antibodies (ADA) | 2 years |
| Objective response rate (ORR) | 2 years |
| Disease control rate (DCR) | 2 years |
| Duration of response (DOR) | 2 years |
| Xuzhou |
| China |